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Da Hae Kwon

Pharmacist β€’ Tamuning, GU

Active NPI 1255000220 Individual Practitioner Female Practitioner
Practice location in NPPES

541 S Marine Corps Dr Ste 101
Tamuning, GU 969133521

Call 6716466337 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

541 S Marine Corps Dr Ste 101

Tamuning, GU 969133521

Telephone 6716466337
Organization at the Same NPPES Address or Phone
Bc Rx Services Facility NPI 1427623305

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Virginia Beach, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tamuning and Guam

32 active clinicians are listed under Pharmacist with a practice address in Tamuning, GU (65 in Guam).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tamuning

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-25
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES GU PH0505

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES VA 0202219760

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Guam State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

1101 Nimmo Pkwy

Virginia Beach, VA 234567730

Phone: 7574271655

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 14, 2022

Registered at 541 S MARINE CORPS DR STE 101, TAMUNING, GU 969133521 (Tel: 6716466337)

πŸ“
Updated Business Mailing Address October 14, 2022

Registered at 541 S MARINE CORPS DR STE 101, TAMUNING, GU 969133521

βœ…
NPI Profile Active September 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 12, 2021

Registered at 1101 NIMMO PKWY, VIRGINIA BEACH, VA 234567730 (Tel: 7574271655)

πŸ“
Business Mailing Address (Initial Record) September 12, 2021

Registered at 1101 NIMMO PKWY, VIRGINIA BEACH, VA 234567730

πŸ‘€
Provider Name / Credentials (Initial Record) September 12, 2021

Recorded as DA HAE KWON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2021

Pharmacist (license number reported to NPPES: VA 0202219760)

🟒
Initial NPI Registration & Enumeration September 12, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255000220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2021
Last Update: October 14, 2022
Sole Proprietor: No

Other Pharmacists in Tamuning

Mailing Address

541 S Marine Corps Dr Ste 101

Tamuning, GU 969133521

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.